Experimental Epidemiology
1st Clinical trial
Basic steps in RCT
Randomization & its method
Manipulation/ Intervention
Types of RCT
Phases in Clinical trial
Hierarchy of epidemiological study
Disaster plans in hospitals and health care centersDr. Samir Sawli
Emergencies and disasters can happen at any moment – and, they usually occur without warning. When an emergency strikes, the safety of patients and staff will depend on the existing preparedness of Departments and their staff.
Hospital and Department Disaster Response Plans are developed and written to provide fundamental support and direction to all concerned staff.
These plans are an essential building block of the Hospital’s response to a crisis.
They are part of every Department’s basic health and safety responsibilities; as well as operational continuity and planning
its ppt on disaster nursing and triage for learning of nursing students with category of triage, and steps to work in disaster situation and comprehensive management of it.
Experimental Epidemiology
1st Clinical trial
Basic steps in RCT
Randomization & its method
Manipulation/ Intervention
Types of RCT
Phases in Clinical trial
Hierarchy of epidemiological study
Disaster plans in hospitals and health care centersDr. Samir Sawli
Emergencies and disasters can happen at any moment – and, they usually occur without warning. When an emergency strikes, the safety of patients and staff will depend on the existing preparedness of Departments and their staff.
Hospital and Department Disaster Response Plans are developed and written to provide fundamental support and direction to all concerned staff.
These plans are an essential building block of the Hospital’s response to a crisis.
They are part of every Department’s basic health and safety responsibilities; as well as operational continuity and planning
its ppt on disaster nursing and triage for learning of nursing students with category of triage, and steps to work in disaster situation and comprehensive management of it.
This presentation on Triage and transport deals with how we should we deal with the patients who are attending the emergency department and to provide best treatment for the needy patients at appropriate time.
I hope this will be helpful to nurses, paramedics, graduate and under graduate students and emergency doctors and team.
Emergency is the gateway to the hospital, patients with pain and agony, relative emotionally charged enter the emergency department at any hour of the day or night, expecting immediate treatment and solace.
Our patient and public involvement journey for the Earlier Detection and Diagnosis of Cancer Study, with the Epidemiology of Cancer Healthcare Outcomes (ECHO) group, University College London
The Therapeutic Alliance, Ruptures, and Session-by-Session FeedbackScott Miller
Chris Laraway's doctoral dissertation presents a thorough review of the literature on the link between the therapeutic alliance and outcome, and how session by session feedback can be used to repair ruptures in the therapeutic relationship.
Similar to Putting triage theory into practice at the scene of multiple casualty vehicular accidents: the reality of multiple casualty triage. (14)
Ranse J. (2023). Research priorities in mass gatherings; invited speaker for the 5th International Conference for Mass Gathering Medicine: Legacy for Global Health Security, Riyadh, Kingdom of Saudi Arabia, 31st October
Clinical governance aspects of mass gatheringsJamie Ranse
Ranse J. (2023). Clinical governance aspects of mass gatherings; invited speaker for the 5th International Conference for Mass Gathering Medicine: Legacy for Global Health Security, Riyadh, Kingdom of Saudi Arabia, 30th October
The impact of Chemical, Biological, Radiological, Nuclear and Explosive event...Jamie Ranse
Ranse J. (2021). The impact of Chemical, Biological, Radiological, Nuclear and Explosive events on Emergency Departments: An integrative review; invited speaker for Qatar Health 2021, Doha, Qatar, 22nd January. [online]
Recommencing mass gathering events in the context of COVID-19: Lessons from A...Jamie Ranse
Ranse J. (2021). Recommencing mass gathering events in the context of COVID-19: Lessons from Australia; invited speaker for Qatar Health 2021, Doha, Qatar, 22nd January. [online]
Novel respiratory viruses in the context of mass gathering events: A systemat...Jamie Ranse
Ranse J. (2021). Novel respiratory viruses in the context of mass gathering events: A systematic review to inform event planning from a health perspective; invited speaker for Qatar Health 2021, Doha, Qatar, 21st January [online]
Ranse J. (2020). Australian bush fire experience; online presentation [via Zoom] at the Georgetown University, Emergency Management Program, Miami, Florida, United States of America, USA, 21st April.
Ranse J. (2019). The 2018 Commonwealth Games Experience; invited speaker for 4th International Conference for Mass Gathering Medicine, Jeddah, Saudi Arabia, 16th December.
Impact of mass gatherings on ambulance services and emergency departmentsJamie Ranse
Ranse J. (2020). Impact of mass gatherings on ambulance services and emergency departments; invited speaker for Qatar Health 2020, Doha, Qatar, 17th January
Australian civilian hospital nurses’ lived experience of the out-of-hospital ...Jamie Ranse
Ranse J, (2019). Australian civilian hospital nurses’ lived experience of the out-of-hospital environment following a disaster: Psychosocial aspects. Paper presented at the WADEM Congress on Disaster and Emergency Medicine, Brisbane, 7th May.
End-of-life care in postgraduate critical care nurse curricula: An evaluation...Jamie Ranse
Ranse K, Delaney L, Ranse J, Coyer F, Yates P. (2018). End-of-life care in postgraduate critical care nurse curricula: An evaluation of current content informing practice. Poster presented at the ANZICS/ACCCN Intensive Care Annual Scientific Meeting, Adelaide, 11th - 13th October.
Phenomenology: Moving from philosophical underpinnings to a practical way of ...Jamie Ranse
Ranse J. (2018). Phenomenology: Moving from philosophical underpinnings to a practical way of doing; presentation at the University of Newcastle, School of Nursing and Midwifery, Research Week, Newcastle, NSW, 10th August.
Mass gatherings: Impacts on emergency departmentsJamie Ranse
Ranse J. (2018). Mass gatherings: Impacts on emergency departments; presentation to nurses and doctors of the Royal Adelaide Hospital, Emergency Department, Adelaide, SA, 16th May
Australian civilian hospital nurses’ lived experience of an out-of-hospital e...Jamie Ranse
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Caring during catastrophe: How nurses can make a differenceJamie Ranse
Ranse J. (2017). Caring during catastrophe: How nurses can make a difference; invited speaker for Disaster Nursing - Not If, But When… Melbourne, Vic, 27th July.
Australian civilian hospital nurses' lived experience of the out-of-hospital ...Jamie Ranse
Ranse J, Arbon P, Cusack L, Shaban R. (2017) Australian civilian hospital nurses' lived experience of the out-of-hospital environment following a disaster: A lived-space perspective; paper presented at the 17th WADEM Congress on Disaster and Emergency Medicine. Toronto, Canada 25th April.
Ranse J. (2017). Trends in mass gathering health; presentation and guest panel member to volunteer members of the St John Ambulance, South Australia, Adelaide, SA, 16th March.
Impact of mass gatherings on emergency departmentsJamie Ranse
Ranse J, Hutton A, Crilly J, Johnston A. (2017). Impact of mass gatherings on emergency departments: A free workshop for emergency doctors, nurses and paramedics, Adelaide, SA, 16th March.
Health service impact from mass-gatherings: A systematic literature reviewJamie Ranse
Ranse J, Hutton A, Keene T, Lenson S, Luther M, Bost N, Johnston A, Crilly J, Cannon M, Jones N, Hayes C, Burke B. (2016) Health service impact from mass-gatherings: A systematic literature review; paper presented at the 14th International Conference for Emergency Nurses. Alice Springs, Australia. 20th October.
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Ranse J. (2016). The impact of mass gatherings on ambulance services and hospitals; webinar presentation to members of the Mass Gathering Section of the World Association for Disaster and Emergency Medicine, 14th October.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Putting triage theory into practice at the scene of multiple casualty vehicular accidents: the reality of multiple casualty triage.
1. Putting triage theory into practice at the scene of multiple casualty vehicular accidents: THE REALITY OF MULTIPLE CASUALTY TRIAGE Mr Jamie Ranse Research Assistant Research Centre for Nursing and Midwifery Practice The Canberra Hospital and University of Canberra
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5. Findings On the way you think of where it is, what’s the time of the day, what’s the weather, what’s that particular bit of road that you know about (Focus Group 1) I find that talking time [on the way to an accident], it gives me time to put things into perspective so that I know what that other person is thinking and they know what I’m thinking, we know what is expected of each other (Interview 4) “… got a heightened sense of presence … almost like a seriousness scale…” (Focus Group 1)
6. Findings … you have to get out and you have to physically walk around, you’ve got to keep your hands in your pockets (Interview 5) When I get out [of the ambulance] I grab my equipment and I stand and I do a complete scan from where I’m standing right through the incident to the other side of the incident…the initial scan is the important factor on my part because it gives me an understanding of what’s gone on. (Interview 3) You can just scan an accident and say that’s the one [the sickest casualty] … (Focus Group 1)
7. Findings Some people may not be able to get out of the car because they’re infirm but then again that adds to their potential to go downhill so I guess we’d probably look at that. If they still sat in the car, either they’re trapped or not very well. (Focus Group 1) A cigarette’s a pretty good diagnostic tool … if someone’s standing by their car having a cigarette then [they are well]. (Focus Group 1)
8. Findings Loudest versus quiet or conscious versus unconscious to begin with. (Focus Group 1) Using you’re whole clinical knowledge … as to what is going to take a priority … run through your DRABC … your airway has got to take priority. (Focus Group 2) What I’m looking for are a couple of things, are they conscious or unconscious; is there evidence of life-threatening haemorrhage or not; and their breathing. (Interview 5)
9. Findings Retrospectively I critique every major job that I do and work out what went right, what didn’t go right and try and work out why, and then put strategies in for next time that happens, I should have done this, this and this because I reckon that may work (Interview 3) I guess it’s an endemic cultural thing within the ambulance service to do the war story as part of the diffusing mechanism of the job. (Interview 2)
10. Findings Kids are another one, and you tend to try and triage those a bit different than adults … (Interview 3) … a 75 year old deserves our attention just as much as a five year old does. (Interview 4) I think that you probably can handle one handful of patients, but when you start to get two handfuls of patients you’ve got to have a process. (Interview 1) It’s not as simple as just how you categorise them because all patients don’t land neatly on the road … (Interview 5)
11. Findings Categorised in terms of not very sick, or could be sick, or are sick. (Interview 4) There’s something intrinsic that says, due to a process and variables as you approach that patient they are ‘x’ amount sick. (Focus Group 1) To actually go in and triage and look around, it’s just something that you can get taught partially in the classroom about multiple casualty, you can only pick it up from time and experience. (Interview 5)